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Below is a list of important articles that have impacted the delivery of spinal services in the UK.
As new publications become available, we will update this page.
Back pain surgery
Scott-Young, M., et al., Comparison of Mid- to Long-term Follow-up of Patient-reported Outcomes Measures After Single-level Lumbar Total Disc Arthroplasty, Multi-level Lumbar Total Disc Arthroplasty, and the Lumbar Hybrid Procedure for the Treatment of Degenerative Disc Disease. Spine, 2022. 47(5): p. 377-386. https://doi.org/10.1097/brs.0000000000004253
Angus, M.L., et al., Development of a physiotherapy-led atraumatic back pain pathway: a novel initiative to improve the management of complex back pain in the emergency village. BMJ Innovations, 2020. 6(4): p. 233-238. https://doi.org/10.3109/09638288.2010.533240
Saltychev, M., M. Eskola, and K. Laimi, Lumbar fusion compared with conservative treatment in patients with chronic low back pain: a meta-analysis. International Journal of Rehabilitation Research, 2014. 37(1): p. 2-8. https://journals.lww.com/intjrehabilres/Abstract/2014/03000/Lumbar_fusion_compared_with_conservative_treatment.2.aspx
Abbott, A.D., R. Hedlund, and R. Tyni-Lenne, Patients' experience post-lumbar fusion regarding back problems, recovery and expectations in terms of the International Classification of Functioning, Disability and Health. Disability & Rehabilitation, 2011. 33(15-16): p. 1399-408. https://www.tandfonline.com/doi/full/10.3109/09638288.2010.533240
Fairbank, J., et al., Randomised controlled trial to compare surgical stabilisation of the lumbar spine with an intensive rehabilitation programme for patients with chronic low back pain: the MRC spine stabilisation trial. BMJ, 2005. 330(7502). https://pubmed.ncbi.nlm.nih.gov/15911537/
Fritzell, P., Hagg, O, Wessberg, P, Nordwall, A and the Swedish Lumbar Spine Study Group, Volvo Award Winner in Clinical Studies:Lumbar fusion versus nonsurgical treatment for chronic low back pain:a multicentre randomised controlled trial for the Swedish Lumbar Spine Study Group. Spine, 2001. 26: p. 2521-2532.DOI 10.1097/00007632-200112010-00002
Outcomes
Carreon, L.Y., et al., Differentiating minimum clinically important difference for primary and revision lumbar fusion surgeries. Journal of Neurosurgery Spine, 2013. 18(1): p. 102-6. DOI 10.3171/2012.10.SPINE12727
Brox, J.I., et al., Four-year follow-up of surgical versus non-surgical therapy for chronic low back pain. Annals of the rheumatic diseases, 2010. 69(9): p. 1643-8. https://pubmed.ncbi.nlm.nih.gov/19635718/
Rehabilitation
Koremans FW, Chen X, Das A, Diwan AD. Changes in Back Pain Scores after Bariatric Surgery in Obese Patients: A Systematic Review and Meta-Analysis. J Clin Med. 2021 Apr 1;10(7):1443. DOI: 10.3390/jcm10071443. PMID: 33916220; PMCID: PMC8036450.
Whedon, J.M., et al., Initial Choice of Spinal Manipulation Reduces Escalation of Care for Chronic Low Back Pain Among Older Medicare Beneficiaries. Spine, 2022. 47(4): p. E142-E148. https://journals.lww.com/spinejournal/Abstract/2022/02150/Initial_Choice_of_Spinal_Manipulation_Reduces.10.aspx
Kamper, S.J., et al., Multidisciplinary biopsychosocial rehabilitation for chronic low back pain: Cochrane systematic review and meta-analysis. BMJ, 2015. 350: p. h444. https://www.bmj.com/content/350/bmj.h444
McGregor, A.H., et al., ISSLS prize winner: Function After Spinal Treatment, Exercise, and Rehabilitation (FASTER): a factorial randomized trial to determine whether the functional outcome of spinal surgery can be improved. Spine, 2011. 36(21): p. 1711-20. https://journals.lww.com/spinejournal/Abstract/2011/10010/ISSLS_Prize_Winner__Function_After_Spinal.2.aspx
Christensen, F.B., I. Laurberg, and C.E. Bunger, Importance of the back-cafe concept to rehabilitation after lumbar spinal fusion: a randomized clinical study with a 2-year follow-up. Spine, 2003. 28(23): p. 2561-9. https://pubmed.ncbi.nlm.nih.gov/14652472/
Imaging
Hanhivaara, J., et al., The Association of Lumbosacral Transitional Vertebrae with Low Back Pain and Lumbar Degenerative Findings in MRI: A Large Cohort Study. Spine, 2022. 47(2): p. 153-162. https://pubmed.ncbi.nlm.nih.gov/34610612/
Kasch, R., et al., Association of Lumbar MRI Findings with Current and Future Back Pain in a Population-based Cohort Study. Spine, 2022. 47(3): p. 201-211. https://pubmed.ncbi.nlm.nih.gov/34405825/
Sääksjärvi, S., et al., Disc Degeneration of Young Low Back Pain Patients: A Prospective 30-year Follow-up MRI Study. Spine, 2020. 45(19): p. 1341-1347. https://pubmed.ncbi.nlm.nih.gov/32453239/
Panagopoulos, J., et al., Do MRI Findings Change Over a Period of Up to 1 Year in Patients With Low Back Pain and/or Sciatica?: A Systematic Review. Spine, 2017. 42(7): p. 504-512. https://pubmed.ncbi.nlm.nih.gov/27428391/
Cauda equina syndrome
Planty-Bonjour, A., et al., Cauda Equina Syndrome: Poor Recovery Prognosis Despite Early Treatment. Spine, 2022. 47(2): p. 105-113. https://pubmed.ncbi.nlm.nih.gov/34265807/
Interventional pain management
Price, C., et al., Radiofrequency denervation of the lumbar facet joints: guidelines for the RADICAL randomised controlled trial. British Journal of Pain, 2020: p. 204946372094105. https://journals.sagepub.com/doi/full/10.1177/2049463720941053